MARYCAROL G BAKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003083

License Status

NOT RENEWED

Business

First Name

MARYCAROL G

Last Name

BAKER

Business Name

MARYCAROL G BAKER

Original Issue Date

12/24/1979

Effective Date

08/18/2020

Expiration Date

09/30/2022

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/28/2022